Name		Reporting Month/Year (MM/YYYY )	Invalid value
Address		Apt #
City		Zip

Phone		Present Shop
Classsification	Period is Required	Other shops worked during month

Number of Hours Worked During Month			Total
	1. Commercial Electrical Construction
	2. Industrial Electrical Construction	Invalid value
	3. Residential Electrical Construction	Invalid value
	4. Specialized	Invalid value
	5. Other (material handling, etc)	Invalid value

Number of Hours NOT WORKED During Month			Total
	1. Holiday	Invalid value
	2. Vacation	Invalid value
	3. Out of Work	Invalid value
	4. Other Hours Off	Invalid value
	Explain:
		Accounted For
		Hours Available	Hours Available is Required

	Pay Period Ending	Pay Period Ending is Required

Job Name
Job Location (Address)
Job Foreman
Job Steward
Journeyman on Job 1
Journeyman on Job 2
Your Email Address*

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MONTHLY HOURS REPORT IS DUE BY THE 15th OF THE MONTH